so you’re cosmetic surgeryconsidering...so you’re m the essential guide for potential patients...
TRANSCRIPT
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The Essential Guide for Potential Patients
Presented by Dr. W. Grant Stevens & Dr. Luis Macias Marina Plastic Surgery
4644 Lincoln Blvd., Suite 552 Marina Del Rey, CA 90292
www.MarinaPlasticSurgery.com
So You’re Considering Cosmetic Surgery
MODEL
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Deciding to have cosmetic surgery is a personal process,
unique for every individual. Most people considering
cosmetic surgery have been unhappy with some part of
their physical appearance for quite some time. For some
men and women, the goal is to turn back the clock; others
hope to correct physical imperfections that have affected
their self-esteem for years. And while it is true that
“beauty is only skin deep,” for many people, cosmetic
surgery can enhance self-confidence and body image,
strengthening their “inner beauty” as well.
While the decision to have cosmetic surgery is one you
must make on your own, there is information that anyone
considering an elective procedure should have. Once a
person is armed with information, he or she knows the
questions to ask and the things to look for. This helps
potential patients find a qualified, experienced physician
with a safe and comfortable surgery center, while creating
a foundation for realistic expectations regarding what will
happen before and after your surgery, including risks and
any potential complications.
This booklet discusses the important information you
need to know in order to make the best decision for
yourself. It also discusses aspects of surgery that can affect
your daily life, such as financing or payment options, how
WELCOME
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
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WELCOME long to take off from work and how best to prepare for a
surgical procedure.
Thank you for downloading this booklet. We are sure you
will find it very helpful. If you have questions regarding
specific procedures or the practice’s offerings, please call
or email us, and we will help you get the information you
need. We can also set up a consultation to help you
determine if cosmetic surgery is the right option for you.
Warmest Regards,
Dr. W. Grant Stevens & Dr. Luis Macias
(310) 827-2653
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
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TABLE OF CONTENTS
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
IS SEEING BELIEVING? 5 - 7
WORTH 1000 WORDS 8- 10
FINDING THE RIGHT SURGEON 11 -14
THE SURGICAL SETTING 15 - 17
FEES & FINANCING 18 - 19
SETTING EXPECTATIONS 20
YOUR CONSULTATION 21 - 23
PREPARING FOR SURGERY 24 - 26
RISKS & COMPLICATIONS 27 - 28
RECOVERY 29 - 31
MAINTAINING YOUR RESULTS 32 - 34
THANK YOU! 35
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IS SEEING BELIEVING?
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
So you’re considering cosmetic surgery. While it may
have taken a while to get this far, serious questions may
still be looming: How do you find the right physician?
How do you find the information you need? Who can you
trust?
Be a Discerning Consumer of Online Information Today, many people turn to the Internet for answers to
some very personal questions. But, how do you know if
you can believe what you read? What should you look
for? Where should you turn first?
While you can always call a surgeon’s office to get more
information, sometimes going online can get you the
general information you are seeking, immediately.
Your online research might include:
Websites. A physician’s website can be a nice
introduction to the doctor’s practice, but don’t let a nicely
designed website be your sole reason for choosing a
doctor. You need to meet the physician and staff, see the
offices and ask questions. You need to make sure that you
have chosen a physician with a solid record in whom you
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IS SEEING BELIEVING?
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
feel you can place your trust.
Before-and-After Photos. These photos can really show a
certain physician’s style and give you a good idea as to
what type of results specific procedures can deliver. We
recommend before-and-after photos as a way to help
educate yourself with regard to surgical possibilities, but
it is also important to remember that no surgical results
can be perfectly duplicated.
Social Media Sites. More and more websites encourage
real-time interaction and contain user-generated content.
Physicians are getting on Facebook to keep in touch with
their patients and share their stories with an expanded
audience online. They're also blogging about news and
developments in the cosmetic surgery field. Patients
themselves are using sites such as RealSelf.com to ask
questions and hear from others who have had cosmetic
treatments. It's a good idea to keep in mind that the
opinions and perspectives you find on social media sites
are just that – not necessarily 100% accurate and reliable
information. Consider the source when determining the
value of the advice you come across on social media sites.
Example of a Facebook page:
www.facebook.com/MarinaPlasticSurgeryAssociates
Example of a blog:
www.beverlyhillsplasticsurgeryinsider.com
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IS SEEING BELIEVING?
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
So, who can you believe online? Here is a list of resources
we trust…
The ASPS
The American Society of Plastic Surgeons offers online resources for both the physician and the patient. www.plasticsurgery.org
The ASAPS The American Society for Aesthetic Plastic Surgery delivers news on the latest developments in cosmetic surgery. www.surgery.org
Plastic Surgery Financing
A private site dedicated to educating potential patients about financing plastic surgery. www.financing-plastic-surgery.com
Breast Health Online
A website founded by a community of women committed to breast health.
www.breasthealthonline.com
The ABPS
The American Board of Plastic Surgery. www.abplsurg.org
The ISAPS
International Society of Aesthetic Plastic Surgery. http://www.isaps.org/
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WORTH 1000 WORDS
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
You know the famous saying: A picture is worth 1000
words. This axiom couldn’t be more true than when
researching plastic surgery or cosmetic treatments for
yourself. When you begin to explore different techniques,
procedures and physicians, you will have the opportunity
to look at many photos, including Before-and-After photos
that show patient improvement and surgeon results as well
as the benefits or limitations of certain procedures. Think of
them as a tool for visual communication.
Understand What a Procedure Can or Can’t Do. In Before-
and-After photographs you can clearly see what a
procedure can or can’t do. You begin to understand what
BOTOX® Cosmetic can do, what a chemical peel can do and
what a facelift can do. All three of these treatments reduce
wrinkles, but each does so in a different way, to a different
extent and sometimes to different parts of the face. You will
begin to understand the difference between an eyelid lift
and a forehead lift. In addition, you will more clearly
understand what each treatment can’t do, which is equally
important.
While photographs can be a powerful tool for understanding
procedures and possibilities, it is important to remember that
results can never be perfectly duplicated.
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WORTH 1000 WORDS
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
Get a Feel for a Physician’s Surgical Style. Make sure
you view your physician’s Before-and-After photographs.
While all surgeons have attended medical school and are
licensed under their state’s rules and regulations, not
every surgeon has the same education, experience,
capabilities or style. Surgeons sometimes have preferred
procedures and techniques, and often these will be
apparent in their patients’ “After” photos. Take breast
augmentation, for example. While comparing the different
Before-and-After photographs from various surgeons, you
may begin to notice that one surgeon’s patients tend to
have results with similar sizes or proportions. Not every
patient has the same goals. While the surgeons you
consider may all be very gifted and experienced, you may
feel more drawn to one style over another. This is
especially prevalent in rhinoplasty and breast
augmentation.
Bring in Photos That Show What You Like. When you
are ready to have a consultation with a cosmetic or plastic
surgeon, you can bring photos to show what you like and
your goals, as well as what you don’t like. This will
illustrate your expectations to your surgeon. It can also
open a dialogue between you and your physician to
ensure that what you want is realistic – one of the most
important aspects of cosmetic surgery treatments. You
want a physician to be truthful with you, not promise you
the impossible.
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WORTH 1000 WORDS
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
While photographs can be a powerful tool for
understanding procedures and starting a conversation
about possibilities, they have their limitations as well.
Photos, particularly from print media, can be altered and
not representative of a real person. Ask to see the results
of real patients, read actual stories about patient
experiences and ask to speak with real people.
Use photos as one of your learning tools. But remember
that no surgeon can promise to deliver the exact results
you may see in a magazine or on the Internet. Remember
to have an open, honest discussion with your physician
about the range of results possible for you.
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FINDING THE RIGHT SURGEON
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
Do not be fooled: Many physicians can call themselves
cosmetic surgeons, but that does not mean that they are a
board-certified plastic surgeons, that they specialize in
plastic surgery or that they even have experience
performing intricate plastic surgery procedures. So, how
can you know you are getting an experienced,
knowledgeable and certified plastic surgeon?
Look for Certification from Reputable Boards In order to distinguish doctors with specific education and
extensive plastic surgery experience, several boards and
societies exist to help patients find the most qualified
surgeon. The American Board of Plastic Surgery (ABPS)
oversees the training of American plastic surgeons. When
your surgeon says that he or she is board certified, it does
not necessarily mean ABPS certified, so be sure to check.
The American Society of Plastic Surgeons (ASPS) is the
only board out of 24 approved by the American Board of
Medical Specialties to certify physicians in both facial and
body plastic surgery. Created to help protect patients, the
ASPS regulates the quality of medical education,
designating qualifying requirements, regulating
comprehensive exams and presenting certification to
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FINDING THE RIGHT SURGEON
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
those who meet the established requirements.
While certification from a reputable board can
immediately tell you that a surgeon has met specific
requirements, you should still ask any surgeons you are
considering questions about:
Their Training. Learn where they went to
medical school and performed their residency.
Look for surgeons who constantly expand their
education and improve their skills, or one who
has trained with other experts in their field.
Their Hospital Privileges. Where is the surgeon
permitted to perform surgery? Your doctor’s
hospital privileges let you know that he or she is
in good standing with the local hospital and has
met its requirements of conduct and training.
Their Memberships. Professional organizations
and medical societies often have their own criteria
for accepting physicians, such as ethical conduct,
board certification or specializations.
Your doctor should be proud of his or her schooling and
will often prominently display diplomas, certifications
and memberships. If you do not see any of these in the
office, ask. And don’t be afraid to ask very specific
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FINDING THE RIGHT SURGEON
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
questions. Most doctors enjoy sharing their accomplishments
with their patients. About Dr. W. Grant Stevens,
Dr. Grant Stevens has been practicing medicine for 27 years, focusing on
cosmetic surgery for 20 years. A graduate with honors from Washington
University Medical School in St. Louis, where he was awarded the Senior
Prize in Surgery, Dr. Stevens completed his general surgery training at
Harbor UCLA Medical Center, then returned to Washington University-
Barnes Hospital where he completed a fellowship in Plastic and
Reconstructive Surgery. He is a board-certified diplomate of The American
Board of Plastic Surgery and a fellow of The American College of Surgeons
and The International College of Surgeons. He was appointed by the
governor to The Medical Board of California Medical Quality Review Board,
and he is on the plastic surgery faculty at UCLA as well as USC. Dr. Stevens
has been an invited visiting professor at Loma Linda University, The
University of Switzerland, The University of Denmark and USC.
Dr. Stevens is the medical director of Marina Plastic Surgery in Marina Del
Rey and Beverly Hills. He specializes in cosmetic plastic surgery and has
been named one of America's Best Physicians in "The Guide to Top
Doctors." He is an active member at Centinela Freeman Marina Hospital,
where he is a past chairman of the Department of Surgery, a past chairman of
the Liposuction Committee, and a former co-director of The Breast Center. He
is also on staff at St. John's Medical Center and the Marina Outpatient
Surgery Center. Dr. Stevens is director of the Marina Aesthetic Surgery
Fellowship, one of just a few fellowships in the U.S. approved by The
American Society for Aesthetic Plastic Surgery.
Throughout his career, Dr. Stevens has authored dozens of publications and
given scores of presentations in national and international settings. Learn
more at www.marinaplasticsurgery.com/cv.cfm.
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FINDING THE RIGHT SURGEON
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
About Dr. Luis Macias:
Dr. Luis H. Macias is a highly-trained plastic surgeon, double board-
certified by the American Board of Plastic Surgery and the American
Board of Surgery serving Beverly Hills and Los Angeles, specializing
in aesthetic and complex reconstructive plastic surgery. A University
of California, Los Angeles (UCLA) School of Medicine alumnus, Dr.
Macias completed a residency in plastic and reconstructive surgery at
the Mayo Clinic, followed by a fellowship in microvascular
reconstructive surgery at the University of Pennsylvania. Closer to
home, Dr. Macias underwent further training in cosmetic surgery in
the USC-Marina Plastic Surgery Aesthetic Surgery Fellowship, under
the direction of Dr. Grant Stevens. Dr. Macias is a member of the
American Society of Plastic Surgeons (ASPS), the California Society of
Plastic Surgeons (CSPS), and a Fellow at the American College of
Surgeons (FACS), as well.
Using his specialized microsurgical and aesthetic training, Dr. Macias
provides Los Angeles plastic surgery patients exceptional technical skill
in breast reconstruction following mastectomy and body contouring
procedures such as Brazilian butt lifts, Cellulaze™ to treat cellulite,
and Smartlipo™. Dr. Macias is highly experienced in breast
augmentation using gummy bear breast implants, laser breast surgery,
power-assisted tumescent liposuction, and no-drain tummy tucks. He
is also trained to perform the breakthrough NeoGraft® hair
replacement procedure. In addition to seeing patients at Marina Plastic
Surgery, Dr. Macias continues to train chief residents in the
University of Southern California Plastic Surgery Residency Program
as well as cosmetic surgery fellows in the USC-Marina Plastic Surgery
Aesthetic Fellowship.
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THE SURGICAL SETTING
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
The word “surgery” often conjures up visions of hospitals,
but ambulatory settings – surgical sites not in hospitals –
are becoming more common. This is due to three things:
medical advancements, technological advancements and
economical benefits. As few as one in five cosmetic
surgery procedures are performed in hospitals. So, to
which will you go? That will be determined by your
procedure, current condition, surgeon, insurance plan and
you.
The Location Ambulatory settings, commonly referred to as surgical
centers or outpatient centers, have gained popularity for
many reasons, the first of which is that they are far less
expensive than hospitals. In addition, most ambulatory
settings have been created with the patient’s comfort and
convenience in mind. Physicians have gone out of their
way to create ambulatory settings that are beautiful and
warm, forgoing the austere, cold environment of a typical
hospital. Most ambulatory settings have a better ratio of
staff to patients so that the staff can be more attentive.
In order to determine an ambulatory surgical center’s
safety, make sure that it is accredited by a reputable
organization. Accreditation agencies develop rigorous
criteria that all centers must pass to ensure patient safety.
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THE SURGICAL SETTING
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
Typically, these standards govern the layout of the
facility, safety procedures and enforcement, and patient
care as well as quality-control programs to ensure that the
center maintains a high level of performance. You can call
one of these three highly respected agencies to verify the
accreditation of your surgical center:
1. The American Association for Accreditation of
Ambulatory Surgery Facilities (AAAASF)
www.aaaasf.org
(888) 545-5222
2. The Joint Commission on Accreditation of
Healthcare Organizations (JCAHO)
www.jointcommission.org
(630) 792-5000
3. The Accreditation Association for Ambulatory
Health Care (AAAHC)
www.aaahc.org
(847) 853-6060.
Accreditation by any of these agencies assures that
programs, policies and staff are in place for optimal care
and treatment.
Dr. Grant Stevens Inducted into the International Society of Aesthetic Plastic Surgery
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THE SURGICAL SETTING
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
Not all procedures are performed on an outpatient basis.
Some procedures or patients require a hospital setting.
And other procedures, while not requiring an overnight
stay in the hospital, may still require a hospital location.
Talk to your doctor to determine the best setting for your
procedure.
In addition to your surgeon, there are other key players
who will be present at your surgery. The type and number
of assisting staff will depend on the procedure performed
but can include:
• assisting nurse and recovery room nurse
• assisting staff
• anesthesiologist or nurse anesthesiologist
• esthetician (for non-surgical procedures)
Dr. Stevens and Dr. Macias perform most procedures at Marina
Outpatient Surgery Center but also have hospital privileges at
St. John’s Medical Center and Centinela Freeman Marina
Hospital. All facilities are fully accredited.
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FEES & FINANCING
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
There is no set cost for specific procedures. The cost is
determined by surgical method or technique, ambulatory
setting, staff required, anesthesia and the patient’s current
physical condition. There are many different avenues
people can take in order to finance their surgery.
All cosmetic surgeries begin with a pre-operative
consultation. This gives the surgeon a chance to meet you,
discover what you would like to change or enhance and to
hear about your expectations or goals. At the consultation,
you can ask any questions you may have about the
procedure, and the doctor can find out more about your
medical history and current state of health. After
determining the best procedure to fit your needs, as well
as addressing any unique requirements you may have, we
will give you an estimate for surgical costs.
At Marina Plastic Surgery, we work with many insurance
companies and we offer financing options.
Insurance Companies Many insurance companies do not cover elective cosmetic
procedures, but they do cover reconstruction procedures,
such as breast reductions and functional nasal
reconstructions. Those that do offer coverage may place
restrictions on what is covered as well as ambulatory
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FEES & FINANCING
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
settings or length of time covered in the hospital. Check
with your insurance provider to determine what your
coverage handles.
Financing We understand that just coming to the decision to have
plastic or cosmetic surgery is a big step for many people.
Once you have made the decision and have chosen Dr.
Stevens or Dr. Macias as your surgeon, we will try to help
you make your dreams a reality. Needing to take out a
loan for surgery is very common. While we don’t offer
direct financing, we can help you apply for a loan, as well
as work with your financial institution to provide needed
information in order to get the loan procedures started.
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SETTING EXPECTATIONS
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
While the decision to have plastic surgery is very personal
and unique for each patient, there is a common “chain of
events” that people go through leading up to the decision.
It usually starts with disappointment or frustration about
a physical attribute. This could be a physical deformity,
the way your body or skin is aging, the shape of a feature
or the balance of features put together. Then, there is hope
when you begin to believe there is something you can do.
Finally, there is the realization that there are treatments
that have worked well for others just like you. The
excitement begins to grow.
Possibilities to Actualities While the possibilities for improvement or enhancement
may seem endless to one person, they may seem difficult
to imagine for another. For either type of person, the key
is to have realistic expectations.
The more you understand both the strengths and
weaknesses of any type of procedure, the more clearly
you can make your decision regarding treatment and
create realistic expectations for your surgery. Your doctor
or the staff can help you clearly understand what can be
improved by which method and what type of results to
expect.
If you have made the decision to have a cosmetic
procedure done, why not support it with a healthier
lifestyle? Your actions can help the procedure last longer,
ensuring a vibrant, healthy, happy vision of you.
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YOUR CONSULTATION
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
All cosmetic surgeries and some non-invasive procedures
include a pre-treatment consultation. At the consultation,
Dr. Stevens or Dr. Macias will provide you with the
required information to ensure that you are fully
informed before going into the surgery. The consultation
is also the perfect time to ask any questions you may have.
Some people have questions they have been wondering
about for some time, while others may not even know
what to ask. So, how should you prepare for the
consultation?
What to Bring Dr. Stevens and Dr. Macias will want to know about your
current health condition as well as your medical history.
Bring your records to help provide the most complete
information, including allergies, prior surgeries, illnesses
and the medical history of your immediate family. We
recommend bringing any photos that you may have that
illustrate your goals or expectations for the treatment.
What to Ask In addition, the consultation is the perfect time for you to
ask Dr. Stevens or Dr. Macias questions about their
backgrounds and about the procedure, including
information about possible risks or complications.
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YOUR CONSULTATION
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
About the Doctor: You’ll want to make sure that the
surgeon has had a lot of experience performing the
procedure you are interested in. Find out how many of
these procedures he or she has performed and how often
they perform them. Ask to see patient Before-and-After
photos. Ask if there are patients you can talk to who have
had the procedure you are interested in.
About the Procedure: Find out exactly what happens
during the procedure. What technique will be used? Are
there newer techniques that you should know about? Will
you have incisions? Where? What type of sutures will you
have, and will they require a separate visit for removal?
Will you have anesthesia? What kind? Are there side
effects with the anesthesia? How long will the surgery
take? Where will it be performed? If you are interested in
having more than one type of procedure performed, ask if
the procedures can be combined into a single surgery.
About Recovery: How much pain or discomfort should
you expect afterward? How will it be treated? How many
days will you need to be away from work? Will your
movement be limited? If yes, for how long? Will you
require special dressings, bandages or garments? How
noticeable will your surgery be to others? Should you
avoid certain activities? If yes, for how long?
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YOUR CONSULTATION
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
About Results: When will results be visible? How long
will results last? What will and won’t be affected? Will
you need follow-up treatments? What if you need a touch-
up treatment or modification?
About Risks and Complications: What are the possible
risks and the percentage of people who experience
complications? What are the possible side effects? Ask
your physician to tell you about complications he has
experienced in the past. While this is not a comfortable
question, you should expect an honest answer.
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PREPARING FOR SURGERY
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
The decision to have cosmetic surgery is a decision to feel
better about yourself. So, what can you do leading up to
the day of the surgery to help support your decision?
Mentally, it’s good to have all of your questions answered
and to have sufficient information about the procedure to
make you comfortable. Physically, there are many things
you can do, as well.
Good Health It is important to be in good physical health before any
surgical procedure. If you have diabetes or are immune-
compromised in any way, you should get this under
control before your treatment. Both ailments can slow
down the healing process, and a compromised immune
system can make you more susceptible to infection. Talk
to your physician ahead of time to find out if there are
steps you can take to control either of these disorders.
Stop Smoking You probably think you understand all of the hazards of
smoking. While everyday side effects are well known, the
surgical side effects are very serious. Smoking can cause
complications during surgery as well as during the
recovery process. People who smoke have a tougher time
under anesthesia. Also, smoking restricts blood vessels,
making it very difficult for your cells to receive the
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PREPARING FOR SURGERY
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oxygen that they need during surgery. Likewise, not
having enough oxygen can slow down the healing
process, hampering your body’s ability to recover.
If you smoke, it is recommended that you quit smoking a
month before your surgery. If you have difficulties
quitting smoking, talk to your doctor about treatments or
help that you can get.
Avoid Certain Foods, Drugs and Medications Over-the-counter drugs that include aspirin can thin the
blood, which can cause difficulties in surgery. You will be
asked to refrain from aspirin, aspirin-containing products,
vitamin E and St. John’s Wort for 2 weeks before your
treatment. Ibuprofen and non-steroidal anti-
inflammatories should not be taken in the 2 days leading
up to surgery. Some treatments may require avoidance of
other drugs, vitamins or minerals. Dr. Stevens and Dr.
Macias will give you a complete list of foods and products
to avoid.
Personal Preparation To make your recovery as pleasant as possible, it is good
to prepare your home and lifestyle beforehand. Your
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PREPARING FOR SURGERY
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doctor can suggest many conveniences that may help you,
depending on your treatment. For people who have
operations that temporarily limit what they can reach or
pick up, moving needed objects from tall cupboards or
shelves to waist height can be very helpful.
You will need somebody to drive you home when you are
released after your treatment. You will not be allowed to
drive yourself home if you have been under anesthesia or
other types of pharmaceuticals. Also, we recommend
having someone with you for the first 48 hours after your
surgery.
The Day of Your Surgery To make the day of your surgery go as smoothly as
possible, be sure to follow all of your physician’s pre-
operative rules and guidelines. Arrive at the surgery
center bathed, but do not wear any makeup or perfumes.
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RISKS & COMPLICATIONS
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
All surgeries come with some level of risk or chance for
complications, although the chances are very low. It is
important for you to be fully informed before your
treatment, and your doctor will go over possible
complications with you in full detail during your
consultation. This is also the time to ask any questions you
may still have.
Closely follow all pre- and post-operative instructions
given to you by Dr. Stevens, Dr. Macias or their staff. If
you have been asked to avoid certain foods, medicines,
drugs, vitamins or minerals, do so. If you are told to wear
a compression garment or refrain from certain activities
after the treatment, follow these instructions. They are
made with your safety in mind and to help your recovery
go as smoothly as possible. Read page 24 for more
information on how to prepare for surgery and page 29 to
more fully understand what to expect during recovery.
Scars There is no such thing as “scarless” surgery. If there is an
incision, there will be a scar. Dr. Stevens and Dr. Macias
take great care to place incisions in the most discreet
places whenever possible.
Each individual will scar differently. Some people will
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RISKS & COMPLICATIONS
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heal with barely a trace of an incision mark while others
may be susceptible to darker or raised scars. A minority of
people may develop keloid scars (bumpy scar tissue that
sometimes requires revision).
Scars have a long healing cycle. You will see remarkable
changes in your scars in the first 3 months, but you will
not know what a scar will ultimately look like for 12 to 24
months after surgery. Scars take a long time to mature. So,
while scars slowly become less and less noticeable, it is
important to remember that it may take a year or two
before your scar has completed its healing cycle.
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RECOVERY
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
Recovery is an important part of the cosmetic or plastic
surgery experience. It’s important to take good care of
yourself, allowing yourself enough downtime and not
pushing too hard to get back into your normal activities.
As medicine continues to improve through new
technologies and techniques, surgery becomes less
traumatic for the body and people are able to recover
more quickly. Still, you need to give your body the correct
amount of time and rest before you resume all levels of
activity.
The recovery process begins as soon as the surgery ends.
If you had surgery under general anesthesia, don’t be
surprised if you are very cold when you first awaken. The
nurse will wrap you in a warming blanket to help fight
any chills. If you are having an outpatient procedure –
where you get to go home the same day – you may need
to stay at the doctor’s office or surgery center for a couple
of hours. When you are released, you will need a friend or
family member to drive you home; you will not be able to
drive yourself home. We also recommend having
someone stay with you for the first 48 hours.
What you need to do during your recovery will depend
on the procedure. Here are some basic guidelines.
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RECOVERY
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Basic Guidelines If your procedure takes place above the shoulders (neck,
head or face), keep your head elevated for several days,
even when you are sleeping. This will help minimize
swelling and bruising.
If your procedure requires a compression bandage or
garment, make sure to keep it on for the full duration.
Your body needs extra support, and the bandage or
garment will help minimize swelling.
If your procedure involved your skin, you may need to
stay out of the sun or wear extensive sun block for several
weeks.
Your physician will let you know when you’ll be able to
bathe, wear make up, do light activities and participate in
more strenuous activities. You may feel as though you are
an exceptionally strong and resilient person, but you still
need to give yourself the gift of time and rest when it
comes to recovery. Take it easy. Take it slowly. Treat
yourself kindly and, before you know it, you’ll be back to
all your normal activities.
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RECOVERY
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
Cosmetic surgery procedures can help you look better and
feel better about yourself. Many people say that it helps
them look on the outside how they feel on the inside.
Others say that it gives them the self-confidence they have
been lacking or the courage to be more true to themselves.
Each person is unique and will have individual reasons
for having a treatment. But, once you’ve had the
treatment, it is important to continue to treat yourself
kindly and with great care. Continue to follow age-
defying activities such as getting enough rest, lowering
stress and eating healthfully. Follow your doctor’s
instructions. And, get ready for many, many compliments
on the “new you” – the you that has been waiting to come
out for so long.
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MAINTAINING YOUR RESULTS
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
If you have made the decision to have a cosmetic
procedure, why not support it with a healthier lifestyle?
Your actions can help the procedure last longer, ensuring
a vibrant, healthy, happy vision of you.
Slowing Down the Aging Process Many people seek cosmetic or plastic surgery in order to
“turn back the hands of time” or to at least help them age
more gracefully. While plastic surgery can’t stop the aging
process, it can slow it down quite a bit, especially with
some help from you.
Protect Yourself From the Sun. The sun ages skin faster
than anything else. By breaking down collagen and drying
out skin, sun damage causes sagging and wrinkles to
flourish. In addition, sun damage can create unsightly
skin pigmentation irregularities, from sun spots to skin
cancer.
Drink Plenty of Water. Our bodies are made up of water,
and our cells need ample water in order to stay healthy
and function properly. Keeping your body properly
hydrated allows the body to function better, and it also
greatly influences your skin. From hydrating dry,
chapped lips to preventing fine lines and wrinkles,
drinking enough water can help to battle many signs of
aging.
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MAINTAINING YOUR RESULTS
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Reduce Stress. This is probably one of the most
important subjects in health right now. Stress has been
shown to tax all of the body’s organs, including the heart,
but it also wears away a vibrant face. If you are stressed
out, chances are your brows are knitted together or your
face is scowling. The last thing you need is a matrix of
wrinkles on your beautiful face. Take preemptive
measures to reduce stress, and learn tools that help you
cope better. A happier you leads to a younger-looking
you.
Give Yourself the Gift of Sleep. Sleep is an important
part of our daily lives, but many people are not getting
enough of it. From hectic lifestyles and crazy working
hours to family obligations and incessant insomnia, many
things can rob us of needed sleep hours. Sleep allows your
body to recharge, makes you more alert during the day
and helps you cope with daily stresses as they happen. If
you are burning the candle at both ends, look for ways
that you can cut back on certain activities so that you can
get an extra hour of shut-eye. If you have insomnia, talk to
your medical professional about available treatments.
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MAINTAINING YOUR RESULTS
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Eat a Healthy Diet and Maintain a Healthy Weight.
Being overweight makes people look older than they are.
On top of that, weight gain can stretch out skin and tax
the body – all things that can age us prematurely. Being at
a healthy weight and eating right allows our bodies to
function properly. Good nutrition helps to ensure that our
bodies are getting the fuel, vitamins and minerals that
they need.
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THANK YOU
SO YOU’RE CONSIDERING COSMETIC SURGERY THE ESSENTIAL GUIDE FOR POTENTIAL PATIENTS
Thank you for taking the time to read this booklet. If you
have questions about plastic surgery, please don't hesitate
to contact us.
Marina Plastic Surgery
(310) 827-2653
For more information about cosmetic enhancement, visit:
www.marinaplasticsurgery.com
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And be sure to check out our social media sites:
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www.chatwithcharlie.com